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WAL-MART PHARMACY 10-3747
CHC26567-00 MERIDIAN SERVICES CORP
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Covered Entity Details
Entity Name
MERIDIAN SERVICES CORP
Subdivision Name
Meridian Health Services
Type
HRSA-Funded Health Center
340B ID
CHC26567-00
Entity Address
240 N Tillotson Ave
Muncie, IN 47304-3988
Grant Number
H80CS26567
Participating Start Date
4/1/2016
Last Recertification Date
2/20/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-3747
Pharmacy Address
1501 EAST 29TH STREET
MUNCIE, IN 47302
Pharmacy Comments
Contract Details
Approval Date
10/15/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Scott Riggs, Chief Financial Officer
(765) 254-5189
Contract Pharmacy Representative
WALMART
Julie Howard, Manager Contracting & Channel Management
(479) 277-1498
Signed By Date
10/15/2021
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